Individual
ANTHONY A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71780 SAN JACINTO DRIVE, SUITE B3, RANCHO MIRAGE, CA 92270-1092
(760) 202-1919
(760) 202-1982
Mailing address
P.O. BOX 3023, RANCHO MIRAGE, CA 92270-1092
(760) 202-1919
(760) 202-1982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G61216
CA
207L00000X
Anesthesiology Physician
Primary
G61216
CA
Other
Enumeration date
11/02/2006
Last updated
07/31/2012
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